NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AGive the first bath to remove the blood and vernix
2. BGive the vitamin K injection before anything else is done
3. CWeigh and measure the baby on the scale
4. DDry and warm the baby while checking that it is breathing

आपातकालीन विभाग में चार रोगी एक साथ आते हैं। पहले किसे देखा जाना चाहिए?

1. A2 वर्ष का बच्चा जो लार टपका रहा है, आगे झुककर बैठा है और जिसे स्ट्राइडर है
2. Bविकृत टखने वाला वयस्क, जिसके पैर में नाड़ी सामान्य है
3. Cमाइग्रेन वाला वयस्क, रक्तचाप 150/90 mmHg
4. Dबाँह पर कटाव वाला किशोर जिसका रक्तस्राव नियंत्रित है

A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?

1. ADehydration from poor intake
2. BAn allergic reaction to a recent medication
3. CA purely viral illness
4. DA bacterial rather than a viral infection

स्टेराइल तकनीक से मूत्र कैथेटर डालते समय कैथेटर की नोक मरीज़ की जाँघ से छू जाती है। नर्स को क्या करना चाहिए?

1. Aकैथेटर को फेंक देना और नया स्टेराइल कैथेटर उपयोग करना
2. Bनोक को स्टेराइल पानी से धोकर फिर जारी रखना
3. Cजारी रखना, क्योंकि जाँघ साफ़ की गई थी
4. Dनोक को एंटीसेप्टिक से पोंछकर जारी रखना

54 mg/dL (3.0 mmol/L) रक्त ग्लूकोज़ वाले सचेत रोगी ने 15 g तेज़ असर वाला कार्बोहाइड्रेट लिया है। ग्लूकोज़ दोबारा कब जाँचना चाहिए?

1. Aअगली सुबह
2. Bअगले भोजन पर
3. Cलगभग 15 मिनट बाद
4. Dलगभग 2 घंटे बाद

A frail older adult in a nursing home has been drinking very little during a heat wave. She is confused, and her sodium is 158 mEq/L. Which treatment would the nurse expect?

1. ARapid infusion of 3% saline to raise the volume
2. BGradual replacement of free water over many hours
3. CA loop diuretic to remove the extra sodium quickly
4. DStrict fluid restriction to below 800 mL a day

A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?

1. AIncreased urine output, less breathlessness and a falling weight
2. BFalling urine output, new ankle swelling and a rise in weight
3. CA rise in blood pressure and a new cough
4. DA rise in weight and more lung crackles

An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?

1. ARespect the refusal, check it is informed and document it, and inform the team
2. BAsk a family member to consent instead
3. CSedate the patient so the transfusion can be given
4. DGive the transfusion while the patient is asleep, as it is in their best interests

A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?

1. AAsthma
2. BStable angina
3. CAortic stenosis
4. DPhaeochromocytoma

As the defibrillator charges, a nurse sees a colleague still holding the patient's bed rail. What should the nurse do?

1. ATurn off the defibrillator and start a new cycle of CPR
2. BAsk the colleague to hold the patient's hand instead
3. CCall clearly for everyone to stand clear and check before the shock
4. DDeliver the shock now, as the bed rail is not part of the patient

Why are tacrolimus blood levels checked regularly?

1. AThe levels show how much urine the kidney is making
2. BToo high harms the kidney; too low risks rejection
3. CThe levels show whether the patient has diabetes
4. DThe drug only works if levels are as high as possible

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AGive another insulin dose because the meal was lost
2. BGive the evening long-acting insulin early to balance it
3. CMonitor glucose closely and tell the prescriber about the hypo risk
4. DIgnore it, because vomiting raises blood glucose

What is achalasia?

1. AInflammation of the oesophagus caused by a fungal infection
2. BWeakness of the lower oesophageal sphincter that allows reflux
3. CFailure of the lower oesophageal sphincter to relax on swallowing
4. DA tear at the junction of the oesophagus and the stomach

स्तन कैंसर वाला मरीज़ भ्रमित, प्यासा और कब्ज़ से पीड़ित हो जाता है, और उसे बहुमूत्रता है। किस ऑन्कोलॉजिकल आपातकाल पर विचार करना चाहिए?

1. Aहाइपोग्लाइसीमिया
2. Bसुपीरियर वेना कावा अवरोध
3. Cदुर्दमता का हाइपरकैल्सीमिया
4. Dट्यूमर लाइसिस सिंड्रोम